Dr. Bernadette Maria Mandes Wildemore, MD
Dr. Bernadette Maria Mandes Wildemore, MD practises Pathology in Dahlonega, Georgia. Graduated from Jefferson Medical College of Thomas Jefferson University in 2003, 23 years ago. Licensed in Alabama, Georgia, Massachusetts and North Carolina and 3 more.
- Years since qualifying
- 23
- Trained at
- Jefferson Medical College of Thomas Jefferson University
- Licensed in
- AL, GA, MA, NC, PA, SC
- In the registry since
- 2007
- Specialties on file
- 8
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
134 Ansley Dr Ste 500Dahlonega, GA 30533-1641 Not confirmed with CMS for 12 years — call before visiting
Phone: (678) 853-2419
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anatomic Pathology & Clinical Pathology Physician (primary) | Taxonomy 207ZP0102X · Licence MD430740 (PA) |
|---|---|
| Specialist | Taxonomy 174400000X · Licence 2013-02274 (NC) |
| Specialist | Taxonomy 174400000X · Licence 70607 (GA) |
| Specialist | Taxonomy 174400000X · Licence MD.33137 (AL) |
| Specialist | Taxonomy 174400000X · Licence MD430740 (PA) |
| Specialist | Taxonomy 174400000X · Licence MD36443 (SC) |
| Specialist | Taxonomy 174400000X · Licence 242668 (MA) |
| Specialist | Taxonomy 174400000X · Licence MD50706 (TN) |
Record details
| NPI number | 1487863858 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 22, 2007 |
| Last updated in NPPES | June 20, 2014 |
Medicare enrollment
| Medicare specialty | PATHOLOGY |
|---|---|
| Medical school | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduated | 2003 (23 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |